How much rates vary
Facilitymedian $214 · 10th to 90th $117 to $427Professionalmedian $219 · 10th to 90th $102 to $269
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $3,981.07 | Facility | None | $204.17 | $204.17 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $181.97 | Professional | None (both parts) | $120.23 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $12.88 | $31.62 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $141.25 Typical High $154.88 | Professional | TC · Technical part | $104.71 | $141.25 | $154.88 |
BCBS Idaho Setting Facility Modifier None Typical Low $144.54 Median $213.80 Typical High $371.54 | Facility | None | $144.54 | $213.80 | $371.54 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $218.78 Median $239.88 Typical High $269.15 | Professional | None (both parts) | $218.78 | $239.88 | $269.15 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $47.86 | Professional | 26 · Professional part | $34.67 | $40.74 | $47.86 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $194.98 Typical High $223.87 | Professional | TC · Technical part | $186.21 | $194.98 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $371.54 Typical High $602.56 | Facility | None | $147.91 | $371.54 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $213.80 Typical High $251.19 | Professional | None (both parts) | $186.21 | $213.80 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $39.81 | Professional | 26 · Professional part | $26.30 | $33.11 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $181.97 Typical High $213.80 | Professional | TC · Technical part | $158.49 | $181.97 | $213.80 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $245.47 | Facility | None | $173.78 | $204.17 | $245.47 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $251.19 | Professional | None (both parts) | $125.89 | $173.78 | $251.19 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $31.62 Typical High $38.90 | Professional | 26 · Professional part | $17.38 | $31.62 | $38.90 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $213.80 | Professional | TC · Technical part | $112.20 | $141.25 | $213.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $32.36 Median $181.97 Typical High $213.80 | Facility | None | $32.36 | $181.97 | $213.80 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $32.36 Median $213.80 Typical High $223.87 | Professional | None (both parts) | $32.36 | $213.80 | $223.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $208.93 Median $288.40 Typical High $363.08 | Facility | None | $208.93 | $288.40 | $363.08 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $281.84 | Professional | None (both parts) | $186.21 | $218.78 | $281.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $43.65 | Professional | 26 · Professional part | $29.51 | $34.67 | $43.65 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $186.21 Typical High $234.42 | Professional | TC · Technical part | $158.49 | $186.21 | $234.42 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $117.49 Typical High $630.96 | Facility | None | $95.50 | $117.49 | $630.96 |
Select Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $117.49 | $117.49 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $229.09 Typical High $354.81 | Professional | None (both parts) | $165.96 | $229.09 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $26.92 Typical High $44.67 | Professional | 26 · Professional part | $16.60 | $26.92 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $204.17 Typical High $331.13 | Professional | TC · Technical part | $138.04 | $204.17 | $331.13 |
10 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $87.10 Typical High $91.20 | Professional | 52 · Reduced service | $67.61 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $34.67 Typical High $36.31 | Professional | 53 · Discontinued | $27.54 | $34.67 | $36.31 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $181.97 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $158.49 | $181.97 | $194.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $87.10 Typical High $91.20 | Professional | 52 · Reduced service | $79.43 | $87.10 | $91.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $34.67 Typical High $36.31 | Professional | 53 · Discontinued | $31.62 | $34.67 | $36.31 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 22 · Increased work | $245.47 | $245.47 | $245.47 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 54 · Surgery only | $158.49 | $158.49 | $158.49 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $22.39 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 63 · Small infant | $245.47 | $245.47 | $245.47 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $169.82 | $169.82 | $169.82 |
Where Idaho sits
The same service costs 3.7 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Idaho· 12th of 51
$219
AK $363UT $97.72
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.